Provider Demographics
NPI:1639799786
Name:LOWE, KATELIN FOX (PT, DPT)
Entity Type:Individual
Prefix:
First Name:KATELIN
Middle Name:FOX
Last Name:LOWE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 LAKEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:KINGS MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28086-9592
Mailing Address - Country:US
Mailing Address - Phone:828-773-4839
Mailing Address - Fax:
Practice Address - Street 1:401 W ACADEMY ST
Practice Address - Street 2:
Practice Address - City:CHERRYVILLE
Practice Address - State:NC
Practice Address - Zip Code:28021-3101
Practice Address - Country:US
Practice Address - Phone:794-445-1554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-19
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP18752225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist